1. 1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Community-Based Nursing and Home Care Chapter 6

2. 2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.Current changes in health care delivery have been influenced primarily by 1.institution of systems to provide cost-effective health care. 2.governmental regulation of the cost of health care services. 3.the need to meet the health care needs of an aging population. 4.development of medical technology that has reduced the incidence of illness.

3. 3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.Continuous quality improvement in home health nursing involves 1.using clinical or critical pathways to guide patient care. 2.documenting to ensure legal and professional accountability. 3.avoiding hospital readmission of patients with chronic conditions. 4.monitoring patient outcomes with respect to patient progress toward goals.